Is single reading with computer-aided detection (CAD) as good as double reading in mammography screening? A systematic review

BMC Medical Imaging

Research Article

Sophia Zackrisson¹  Edward Azavedo²  Ingegerd Mejàre³  Marianne Heibert Arnlind⁴ 

[1] Department of Clinical Sciences in Malmö, Diagnostic Radiology, Lund University, Skåne University Hospital Malmö, SE-205 02, Malmö, Sweden;Department of Diagnostic Radiology, Karolinska Institutet, Stockholm, Sweden;LIME/MMC, Karolinska Institutet, Stockholm, Sweden;Swedish Council on Health Technology Assessment (SBU), Stockholm, Sweden;Swedish Council on Health Technology Assessment (SBU), Stockholm, Sweden;LIME/MMC, Karolinska Institutet, Stockholm, Sweden;

关键词: CAD;    Mammography;    Screening;    Breast;    Cancer;    Single reading;    Double reading;   

DOI  :  10.1186/1471-2342-12-22

 received in 2012-04-20, accepted in 2012-06-23,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundIn accordance with European guidelines, mammography screening comprises independent readings by two breast radiologists (double reading). CAD (computer-aided detection) has been suggested to complement or replace one of the two readers (single reading + CAD).The aim of this systematic review is to address the following question: Is the reading of mammographic x-ray images by a single breast radiologist together with CAD at least as accurate as double reading?MethodsThe electronic literature search included the databases Pub Med, EMBASE and The Cochrane Library. Two independent reviewers assessed abstracts and full-text articles.Results1049 abstracts were identified, of which 996 were excluded with reference to inclusion and exclusion criteria; 53 full-text articles were assessed for eligibility. Finally, four articles were included in the qualitative analysis, and one in a GRADE synthesis.ConclusionsThe scientific evidence is insufficient to determine whether the accuracy of single reading + CAD is at least equivalent to that obtained in standard practice, i.e. double reading where two breast radiologists independently read the mammographic images.

【 授权许可】

Unknown   
© Azavedo et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.